1988-132 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 28 19 88
14A
88-132
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a One Family Dwelling
LOt #15 Stonehurst Drive (St. No.3)
Location
JOhn & Linda Ellingsworth
Owner
By Order Town Board
TOWN OF QUEENSBURY
/2
/'"?
Building & Zoning Inspector
BUILDING PERMIT -
TOWN OF QUEENSBURY 88-132 0
No.
WARREN COUNTY, NEW YORK
Un
tv
PERMISSION is hereby granted to JOhn & Linda Ellingsworth
v,
OWNER of property located at Lot #15 Stonehurst Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
0
1. OWNER'S Address is RD #1 Box 37®A
Glens Falls, N.Y. 12801
r•
2. CONTRACTOR or BUILDER'S Name �y
Same
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00
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3. CONTRACTOR or BUILDER'S Address
0
Same rt
4. ARCHITECT'S Name
0
rt
5. ARCHITECT'S Address to
rtcn
In
Z rt
O 0
.
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6. TYPE of Construction—(Please indicate by X)
rt
IX)Wood Frame ( ) Masonry ( ) Steel ( ) rr
t7
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7. PLANS and Specifications
No. 55' x 34' as per plot plan, specifications and application including
septic system and attached two car garage.
0
8. Proposed Use 0
One Family Dwelling
Ft
B
$5.00 C/O
150.00 November 1, 88
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
ao
Dated at the Town of Queensbury this l lth Day of April 19 88
SIGNED BY % C— . for the Town of Queensbury
Building and Zoning Inspector Ate,
_ • . TO BE COMPLETED BY BLDG. DEPT. • TOWN.OF QU 12i. ..':
ac� // Application No. \� (� Lj
wn o Queeniurc 16,f Permit Issued 19 n
BUILDING and ZONING DEPARTMENT Permit Expires 19 APR 7 t98V •
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 •Variance,No. BUILDING & CODE DEPT.
Site P. Re,iew s
/ 5�pp �� PA
-CO
APPr. e�.
�� Co
�� APPLICATION FOR j��j
I '
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * •*. * * * * * * * * * * * * * * * * * * * * ::*. .
A PERMIT MUST BE OBTAINED. BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a.Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit. .
The owner of this property is: J
01I/l/ �- L/)Vn �� //+�G SwC1r�'7"//
P.O. Address h?D. I fox 370 ,4 - CAFNs,,FAu 2 ,280I Tel. 772-3S i1 • •
J 1 c��/
Property Location: ' 5 o//E 'j-�U�'S l` nR1V� 'Ao T � U7/ ./ O Tax Map No. / /
Street number or building lot number/�
•
Subdivision name (if applicable). S 7 O/�/E'I-)-V !l S '/ /
THE PERSON RESPONSIBLE FOR SUPERVISION..OF' WORK AS REGARDS BUILDING CODES IS: '
HA/ L.4A/JL'65w 0RT H hc,0#/' So x 370 i - 62,Cti s FA.uS, n? ), 7 3--3 5-SY
Name P.O. Address Tel. No.
Name of builder .0 wvv0 G RrE•L'F Address %'L/ . Lvi :LiAnN Si" G.L.E s k5 Tel. 7y 3 - 7/`/
•Name of plumber iom 0o.v0 t& '. ' Address .. . f/AASFr /L. 64F.us Fitc,) Tel. 79 2 -3`/YY
Name of mason f k' MAy,vARO Address 63 /fE,& ,) 13R; 6�.6,,,s Fd4,-5 Tel. "7`n - 3 %
NATURE OF PROPOSED WORK: * - ZONING INFORMATION:
.construction of a new building .. *..A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_Addition to a building *drawn reasonably to scale and attached hereto, ,
_Alteration to a building - * showing clearly and distinctly all buildings,
(no change to exterior dimensions), ,: * whether existing •or proposed and indicate all . , . .
Other work (describe) * set-back dimensions from property lines. Give ,
_
• * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF. STRUCTUR S AFFECTED. of water supply and location and configuration
' * of septic disposal area.
* '
- * COMPLETE INFORMATION REQUIRED BELOW..
* Size of property / `t'j O ft X „-7S 0 ft.
* Existing building(s) Size ft X ft. ,
. * .
PROPOSED BUILDING AND USE:
* Existing building(s) Use
Size of new structure S-S ft X� / ft * '
Foundation-pier/slab/crawl/partia full .* Proposed building, distance from property line '
(circle one) * '
Front yard 75- ft Rear yard [CO ft
No. of stories (habitable space) ON .
Height (grade .to ridge) ft. * Side' yards SO ft and -7 0 ft
If residential, no. of families - * If on corner, setback from side street ft
No. of rooms(excluding baths) ' 7 * OCCUPANCY INFORMATION
No. of bedrooms 3 • •
* PRIMARY BUILDING -
No. of bathrooms .
Primary heating system /-k i PIA One family dwelling
Type of fuel �Z * Two family dwelling
- — . * Multiple dwelling / Number of units
No. of fireplaces to be installed •
Will a wood stove be installed? `i�S * Permanent occupancy
Central Air conditioning? * Transient occupancy
. * Business .
•
BUILDING STYLE, PRIMARY STRUCTURE *" Industrial .
Ranch Contemporary Log cabin *-7 Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow .
Cape Cod Cottage Other * ACCESSORY BUILDING- .
C olonial - - Row.. Town House * ' Detached garage/one car/ two a.r/ car
• ( CIRCLE ONE PLEASE ) * x Attached garage/one car/ two ca / car
* * * * * * * * * * * * * * * * * * ' Private storage building
_
ESTIMATED MARKET VALUE OF . * Other
CONSTRUCTION *
$_:` 53000
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! •
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED - .
• •
BUILDING SPECIFICATIONS:
Type .of construction, wood frame, fire safe,etc. �/CO.� %Rl9-rn�F
Will any second-hand, or ungraded lumber be used? If so, for what?
Foundation wall material u RgD t=0A.,,?(()L-1 —:Thi
'' ckness
Depth of foundation below grade (to bottom of footing) . '
: Wi11 there be a cellar? Heated or unheated? Floor sq. footage sq. ft .
,Will there be a basement? ..\--- Will any portion be used as living space? J.lc)
(If so, what po sq.ft. - - Type of use?
,Type of roof loped f�let/shed/other Material.•of roof /9510/769.4T- .S,6W-264 5
Size, wood stu s "X G " spacing A ".o.c. length 3 ft.
Joists(floor beams) 1st. floor r "X /0 " spacing /6) "o.c. span 1`/ ft.- .
'; . -
Joists (floor beams) 2nd. floor "X )t) " spacing ), "o.c. span /4/ ft,
yOverlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X spacing o.c. span ft. •
. ..
Roof trusses (pre-engineered) spacing 1-/ "o.c. span, r6 ft.
. Exterior wall finish X t Of what material? 11cid . c,e4ve opP
Interior wall finish S4FEV. ?oc
';If a garage is to be attached, describe` materials to be used for FIRE SEPARATION: 5A sde,pratic
Is there to be an 'opening between garage' and dwelling?Yr-s If so will a Fire-rated
door, enclosure, and self-closing device 'be•'provided? t S
Will a flue-lined chimney be installed?' 4/6 Height ab6ve roof ft.
•
Depth of chimney foundation below grade ft.
Depth of fireplace, hearth ft. in. '
Water supply - Municipal or private well 10f)V19T5 C,t_ E22.---
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties/DO ft.
(A separate application is necessary for any repair or new installation of septic system) - .• '
Town of Queensbury A F F :�I . D A V I T STATE OF NEW YORK '
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work.to be done 'on the described premises and that all
provisions of the BUILDING CODE, THE .ZONING ORDINANCE, and all other laws pertaining to ; ,
the proposed work shall be complied with, .whether specified or not, and that such work is
authorized by the owner. .
SWORN TO BEFORE ME THIS Signatur c - ~ '
er, owner's agent rcnitect,contractor •
d
t day of - 19Q . KATHL \. MONDORE
Notary !'ublic, Stale of i w York
•
/-`�� (� (���,� r\ Qualion i PSarato Caunty
U/ 1 ` x 1 (C Cu.rmiss on'Ex fires August 18, 1988
Notary Public, Warren County., N.Y. .
* * * * * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * .
SPECIAL CONDITIONS OF THE PERMIT: .
9
B},
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH. THE NEW YORK
STATE ENERGY CONSERVATION CODE ,, .
A permit must :be obtained before beginning work.
ANSWER ALL of the following: '
•
, 1 . - Gross floor area 1 0 7 ' •5•F, .
2 . . Type 'of heat p 1 hot a. %% r
3 . Is the building mechanically cooled? NO
4 . Perrentage of area of windows and doors /t/, V qb
A. Over ' 16% Only • - '
Uo value of gross. area of. walls ,. roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
. a. Are foundation walls insulated? . YES NO'
1. If YES, what is the R value?
3'. Slab on grade YES . NO . ,
a. ' If YES, what is the R value of insulation around
• perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation
5. Type. of insulation • .
•
p, Under 16% Only•
1, 4 value of roof and ,floors, exposed to . ambient conditions
e
3S
• 2 , R value of exterior walls / -/ / .
3 , R value of glazed area /e— 3, 3 • .
•
. 4 , R value of doors " PAT
5. R value of floors over unheated spaces /e—
. 6. R value of ' slab• edge insulation - unheated slab 402.
•
7 . R value of slab insulation - heated slab ;,/E
8 . R value of heated .basement/cellar walls ' (above grade) /✓/�
9, R value of .heated-basement/cellar walls (below grade) /V ).47
10. Type _ of insulation ri oe;("?`ay 5
C. Contrcls
1 ' TI' ermostat maximum heat setting R b°
D. Duct Systems
l: Is 'duct system installed in unheated spaces? YES NO
a. If 'YES, R value of duct installation
b. R value of duct in other areas
E. Piping Insulation ' ,
1.. Size' of hot water or cooling carrying agent pipe 0
2 , R value of pipe insulation .--d
F. Sc.rvice Water Heating
- 1 . . Performance 'efficiency 9'3 7e, .
'2. Temperature control. eettirg maximum No o
G. For Swimming Pool Only
1., Maximum heating •
2 Q / t
75 3
Tel No. —7-5-U �( a xtt.,L_e
�/(applicant ''s signae)
alien. jQue4
11
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE 1/ S / �S
LOCATION OF PROPERTY FOR INSTALLATION S%O,t/c 1/Ut;ST D/l Vi
Owner's Name: lf/1/ d BIND/} .2.u1/V6S(.voRTN Telephone: 7?3 -356)"
Address: 1.0' / & x 3?O a 6 A )_S F/94L.S) /v 9
Installer's Name: ,(7,W (jIi4U,S /Hi Telephone: A/S-$
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) Sd
Topography: circle one: _lat Rolling Steep Slope % of slope
Soil Nature: circle one: Sander Loamy Clay Other / Depth: �r feet
Ground Water: At what depth? , } feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal AV Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption -00 feet
PROPOSED SYSTEM: Septic Tank 6006 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length 42100 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * .* * * * * * * * * * * * * * * * * * * x * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * 4 * * * * * * * * * * * * * * * * * * * : * * * * * * * * *•* * .* * *
•
(over)
Section II Septic System Inspections:
, A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply ,.
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage. . .
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements ,
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: ' '(')-, $7.- f ' ,96-1 �L
Date: _1/c
Town of Queensbury '
Building and Code Department ' • '
Bay at Haviland Road
Queensbury, New York 12801 '
(518) 792-5832
SF"TLED 1763 ^F.ME OF IIt'TURAL BEAUTY "'"'OD..PL/ LIVE .
pro: ?V /JJ
•
MAIN OFFICE` •
ATLANTIC-INLAND,INC.
997 McLean Road NEW YORK
Cortland,New York 13045 .
Phone:(607)753]118''• MEMBER OF N.F.P.A.AND LA.E.I. ' •
- . (607)753-7809 ', ; ', ,. FIRE UNDERWRITERS -,. :-,
.. ''(607)753-1396.': (Electrical and Fire Inspection-Enforcing and Consulting Service) !, : 3
(Incorporated In the State of New York)
Desiring Certificate of ApproYal,application Is made for inspection of electrical Installation in the premises described below.On demand applicant agrees to pay for Inspection service
In accord wlthschedule of charges., •
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION li! 58.
CITY OWN ILLAGE C. SEE-A...S•b'U jj Y COUNTY. Lu/ ( )Fit.-.. '`STATE N /':
ADDRESS•,'''S. fO,U L �`/(, 5 7 + i)f? ) f/1 I-C77- , ., .. '"'BUILDG.NO.
RURAL" , , :
DIRECTIONS
. `" :,,' ..f7 __ POLE NO.
' OWNER'S �L�: /i l /
NAME O7 v +-L:/NGi ,L/ I'Js.w.twc)i 1/- OCCUPIED AS 5lhl(,1 1-14an i.c Y iil l ,IF ,4//1/L,
OCCUPANT ' BUILDING—Ney!(�OId❑ WORK—New❑Additional❑ .
OWNER'S P.O. /)n'� " -�r� `�� d ADDRESS +:J 60x, 3 rib
. • �C 7, E 'S . FOALS . /L.' /, t'0..l
APP. FOR—ROUGH WIRING El FIXTURES❑ OR - READY FOR INSPECTION 19
' FEE REMITTED—$ . BY CHECK El CASH 0 MONEY ORDER❑ . MAKE PAYABLE TO ATLANTIC-INLAND,INC.—NEW YORK `
Number of Rough-Wiring Outlets , "Fixtures •AddInstallation
Swtch LI'tng Recap. .i KW Med. ' Mogul Fluor. 500 750 1000 1250 1500 1750. 2000 2250 2500 2750 3000 -
Heat Base Base ,
Elect.Heat - - .
3 /, 3-� J y �� j Amp.Service Water Htr. 'I Burner Air Cond.
I ' Surface Unit • Oven 'Range •Gr.Dlep. Dish W.
' Dryer - • ' H.P.Pump Ex.Fan' Hood
OTHER E •r`'' : . , ,
QUIPMENT(Speciff T
y Type&Capacities)
TYPE OF - SIZE OF "SUB- BRANCHES NO.OF
WIRING' '• - - "OPEN 0 CONCEALED,❑ OT ER M•IN . MAIN. •CIRCUITS
IllirAPPLICAT'S '
SIGNATUNRE - Q J r • L • L di. ICENSE#. ' PERMIT#
APPLICANT'S - nh 1 : NAME OF
ADDRESS '. :.,..' - - - `J 0` , , . ' UTILITY.. ,
CITY I,".b. STATE l �. ZIP CODE 1 3-26 j , BE NOTIFFIQE FIED
�} JJJ 1 BE NOTIFIED
........ ....:• j.:.:':::•.
.... .....: SPACE BELOW FOR USE OF INSPECT
ORS ONLY
ROUGH WIRING AMP SERVICE •}:•::• } ... .. .
K.W.SURFACE
OUTLETS
-" / /1 - EQUIPMENT UNIT
Q SWITCHES
.. ..,. ... AMP SERVICE. . K W OVEN
, . ... , CONDUCTORS .. .
H.P.GARBAGE
.•.MEDIUM BASE I
FIXTURES - ' - DISPOSAL UNIT
, .. . ' 'K W.DRYER 3 04.- K.W.
a •IDISHWASHER . i
; MOGUL BASE
.. .. -, ... . .' FIXTURES HEATERTER 3 G�
J
;FLUORESCENT � -K.W.RA C7i'�•�
...FIXTURES -H.P.AIR -j` c. RECEPTACLES
. E
CONDITIONER AMP.
MERCURY VAPOR OR WIRING&CONTROLS FOR ''BURNER ' SMOKE ' FRAC.H.P.
' " QUARTZ FIXTURES . DETECTORS VENT FANS
• MOTORS,H.P. ' I 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 ' 1 Vi' 2 3 5 '71 10 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE !
r " 500 '750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect.Heal c. . ' I I, ,
MISC.INFO. /�J;y " `4-/3' Received ' Inspected ,e, ' FEE PAID
/V
. , f4.Pff6GRESS _ -
s--
'Stet' Matyka DEFECTIVE
TOTAL
R.D. f�2 'LOx �0 � DRoughWiringCertificate -••- ' Check No. . . '1 '' l .
Greenwich, N:Y 12834 Temporery Money Order
Service 'I y
... -�.2 ""e�i _ .O -
NALCERTIFICATECash
/
(518) 638-6339• Dup.Oert.Req. _. . Charge PjM-(1L>
❑MUNICIPAL ' t
'Mon. =;Fri. 6`-730 A..Mt ` . •
51 B-692-9295 i MON.At/DRESS Q4, , ., .... .
C� ATTN:
Temp.Cut•In Card No. , c/Q r Final Cut•In Card No: � U ...
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT / / / /�/�f
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED //= �j
NAME _-�,-�(.i12> ��/1.�//t�,P
LOCATIOg Xo f c- ,G! F2-4- 19//,,! )--
DATE //-,-q r PERMIT # -/0
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL'�APPROVAL
ROUGH PLUMBING\
FRAMING
ELECTRICAL ROUGH-IN i!
INSULATION:
FOUNDATION
FLOORS /
WALLS
CEILING
(�F2rNAL INSPECTION: 'le_„ //0j
CHIMNEY HEIGHT ut� /
ROOFING
SIDING
EXTERNAL PORCHES/STEPS /
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF ALVE i
INTERIOR R PRIVACY D00°
FINISHED FLOORS / \
GARAGE FIREPROOFING/ v!;/.
DOOR CLOSER(S) / tom`
SMOKE DETECTORS / \ t/
FINAL ELECTRICAL INSPECTION \ j
FINAL APPROVAL OF ,CONSTRUCTION \ V
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT 'BEFORE
THESE PREMISES/ARE OCCUPIED!
REMARKS:
If
INSP CTOR
r
•
INFORMATION FOR BUILDING DEPARTMENT
LENDING AGENCY
Atlantic-Inland, Inc. is in the process of issuing a Certificate of
Occupancy/Compliance for the electrical installation/
construction project as covered in an application filed with
our main office.
Date Inspector
NEW YORK ATLANTIC-INLAND. INC.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ���(/t�
BAY & NE ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED //'
NAME , ,46 n � ��
LOCATIO Z/S /r
DATE //27 PERMIT # 26=-- —/L3=?
APPROVED
YES NO
FOOTING/PIERS I
MONOLITHIC POUR •RMS
FOUNDATION/DAMP-P^OOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS
WALLS -
C ING
NAL INSPECTION:
CHIMNEY HEIGHT I/
ROOFING
SIDING
EXTERNAL PORC ' S/STEPS
STAIRS-CLEA'ANCE & RAILS
PLUMBING FI..TURES/RELIEF V•LVE
INTERIOR TrIM/PRIVACY DOORS
FINISHED 'LOORS
GARAGE F'REPROOFING
DOOR C •SER(S)
SMOKE DETECTORS
FINAL 'LECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:t.)
0.) s, r -ec ,a3 d r• Q✓ / 'e
3.) L,.,-s;,��-LL r��v�,�, er %aA
' et_e • L/G771�-JILT(z,
•
Jam, ,
INSPECTOR
Jown of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
,y11L Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME /1,47
7
LOCATION /cc � ��e/
Date ?J(2 /Y Permit No. jefr-�/�3�
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
B"ckfill
Framing
Roofing
Siding
Masonry Veneer
v12ough Plumbin
Relief Valves /
Ext. Porches /
Finished Floors
Interior Trim /
Stairs & Railings / -
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures '%
Gar. Fireproofing /,
Door Closers /
Smoke Detectors /
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPR AL
Final Building ,rvey
Next scheduled inspection (call when ready)
Remarks-
Building In ect
6/86 and-vl
-1v awn of Queen3bur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSALS SYSTEM INSPECTION
NAME (:)
LOCATION 15 Jt.MQVU,,►
DATE LD I - PERMIT NO. 92 15 4
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES NO
Percolation ra,e - Min/Inch
TYPE of SYSTEM:
Absorption field, , otal le-gth d
Length of each tren. h
Depth of trenches '
Size of gravel ,- l7Z.,uE-5-��x/E
SEEP GE S4Number
Sixze- ft. X _ ft.
Gr el Si e
PIPING: Si:e Type
Bldg. to tank ///Or
Tank to dist. ..x /
Dist. box to field , _ /
Openings seal •d? YES Ni, Partial
LOCATION/SEP/•RATIONS:
Foundation o tank
Foundation to absorption �4 kt
Absorption to lot line ,4-40 ��o
Fr
Separation of pits ,� fgft.
or• SYSTEM ON PROPS TY(ci cle one)
Front Re.4 f - Left side - Right ..ide -
COMMENTS: /,C / t� �
SYSTEM USE APPROVED OP NO
Building Inspec or
01/86 and vl
awn o/ QueeniLry
BUILDING and ZONING DEPARTMENT
Bay nd Haviland Road, R.D. 1 Box 98
Q eensbury, New York 12801
e)4
°1/
IB G INSPECTOR ' S REPORT
ME
LOCATION �O 1 `�- � ��� �5 7L
Date 6`c�G`j/CFo Permit No.
* * * * * * * * * * * * * * * * * * * *' * * *
✓ 7-,/APPROVED - YE / NO
footing/Pier Forms / V
Foundation f {
Waterproofing
Backfill
Framing
Roofing ,
Siding
Masonry V:neer
Rough P1 .ing
Relief Val es
Ext. Porche%
Finished Floors
Interior Trim
Stairs & Raili'gs
Cellar Drain Ti .e
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICA INSPECTION
DRIVEWAY APPROV'
Final Building survey , t
Next scheduled nspection (call wh-n ready)
Remarks- /� ,r�o wc.� -
-T /k 1%uCls Ge7YeGi
Building Inspector
6/86 and-vl
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ki ' _bean of QueeniLry
`` BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
.0 (r
ILDING INSPECTOR ' S REPORT
LOCATI N / /J c_5LP-7I-P4(1 .54
Date 4//9. / Fir Permit No. eg-/4.5
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
noting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding ,
Masonry Vene-
Rough Plumbin!
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing-
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT•ICAL INSPECTIO '
DRIVEWAY AP•ROVAL
Final Building Survey •
Next scheduled inspection (call when ready)
Remarks-
/Xi/
Building Inspector
6/86 and-vl
y � c�
77
d9, / _bean o/ Quenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME e/////1141/-
LOCATION //( ,76 /efr
Date 4//l- F/ Permit No. g.---/(9,;s�
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
'ooting/Pier Forms
(Foundation
aterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile •
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when r, ady)
Remarks- �'"/1l�
/� , ';)�
Building Insp c "or
6/86 and-vl
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Member N.F.P.A. f4. 0 Ase5
NEW YORK ATLAN �1 a I I NC. APPROVED FOR: CERTIFICATE NO.1 �53
�?': Electrical and Fire Inspection-En Consulting Service
f`°= . 997 McLean Road,Cortland,New York 13045 200 Amp Ser./39-sw./54-recept./35-md.base .'?� ��
i fix./1-pump/1-dryer/1-water heat./1-aishw-: :�.I
1/18/88 19— 1-range/5-GFCI recept./2-vent fans/1-smok- == `• '
OWNER det.XXX .
,: ;: John & Linda Ll'lingsworth
ADDRESS S tonehurs t Drive s„Lot 7F'1 The conditions following governed the issuance of this certificate,and any certificate
`•-' Queensbury,< N.Y t, previously issued is cancelled:— ▪ i
^ :: f s; .,„ ,i - This certificate only covers the electrical equipment listed and installation conditions
�� 'FI t •?_, •r' as of date.Upon the introduction of additional equipment or alterations,application
ELECTRICIAN !;` , .�1,-.;1 C"
{ shall be promptly made for inspection.
John & Linda Ellingsworth Inspectors of this Company shall have the privilege of making inspections at any
•-. RD qY 1 BOX 3/0A }{ --r time,and if its rules are violated,the Company shall have the right to revoke this certificate.
•'`�`' ADDRESS Glens Falls, :N:Y;,.0 32801.Mk:.: it
" er 'fica not o he �• _2 •o t. fir- r - "
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MAP REFERENCE
STONENURST SUBDIVISION
BY VanDusen & Steves
DATED JULY 15 , 1983 I HEREBY CERTIFY TO
FILED NOVEMBER 21 , 1983 LIiNDA M. & JOHN 0. ELLINGSwORTH
FIRST NATIONAL HANK OF GLENS FALLS,
IT'S SUCCESSORS AND ASSIGNS
1t{Ai ff-1[S MAP WAS MADE FROM AN ACTUAL .SURVEY ON
THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND
HOvJ`3�4'``,V4�NS OF- BOUNDARIES AND IMPROVEMENTS
JN.1 f�Zt I �e�ND THERE ARE NO ENCROACHMEN I`S
P.• 0
V F
®m,a•'
^LeaurHrntxED ALTERATION cer Aa>ITIcvN To A sLwV<v
tt
HAP SEARING A LICENSEE LAND SUIVEIUVS SEAL IS A
I l� VIOLATION OF SECTION 7209,SUB-DIVISION 2, 'THE
U \J k w YO STATE EDUCATION LAM." i
T) "CMN.Y COPIES FROM THE OHIGIWL OF THIS SLR EY 1
�j WAHKEA WITH AN CRIGIN OF TIC L SLAIEYCW'S \�
`SEAL vHAL.BE M4516ERED'YO EF VALID TALE COPIES."
\\JJ "CERTIFICATIONS L:DIC"EO WACO,sTCMIFY THAT
'\ �'' y 1M1S SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING COPE OF PRACTICE FOR LMID SUIVEYS ADOPTED
BY TIE�Y Ygff STATE Q As<n^tnnor+cw PROFESSIOJN.
f LAND 9JIVEYCPS.SAID CERTIFICATIONS SHALL RtN OILY
QSF�`by TO THE PERSON FOR WCH THE SUTIYEY IS PREPARED,AW N
ON HIS BEHALF TO THE"TITLE COWANY,OOVEAHENTAL V
`O AGENCY AND LENDING INSTITUTION LISTED HERED4,AND
LOT
O THE ASSICHEES O TIE LENDING INSTITUTION." W
G� tJ T Z
054 A CRESt N
0-
MAP OF A SURVEY MADE FOR
JOHN D. & LINDA M. ELLINGSWORTH
TOWN OF QUEENSBURY WARREN COUNTY NEW YORK
/G SCALE : I" = 50' DATE : MARCH 24 , 1988
VanDusen & Ste ves
LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y. STATE LIC. NO. 35617
s - /- :Fe -88 -/57
3